NPI | 1285957985 |
---|---|
Entity Type | Organization |
Authorized Contact | HORACE EARL FERGUSON Licensed Optician 843-655-2299 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: SC 436) |
Enumeration Date | 2010-03-09 |
Last Update Date | 2010-03-09 |